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Aetna spinal fusion policy

WebCriteria for medical necessity Our precertification program is aimed at minimizing members’ out-of-pocket costs and improving overall cost efficiencies. It requires that the more cost-effective site of service is used for certain outpatient surgical …

AMERICAN ASSOCIATION OF

WebMinimally invasive transforaminal lumbar interbody fusion with direct visualization. Aetna considers minimally invasive transforaminal lumbar interbody fusion with direct … WebOct 1, 2015 · Lumbar spinal fusion surgery may be considered medically necessary and covered for the following indications: 1. Lumbar spinal instability for ANY of the following indications when confirmed by appropriate diagnostic testing (e.g., radiographic imaging, biopsy, bone aspirate, bone scan and gallium scan): Acute spinal fracture incoherent text generator https://go-cy.com

Evoked Potential Studies - Medical Clinical Policy Bulletins Aetna

WebAetna considers lumbar spinal fusion experimental and investigational for degenerative disc disease and all other indications not listed above as medically … WebJul 25, 2024 · AANS-CNS Letter Regarding Aetna Policy 0016 Section IX, E, Expandable Spinal Cages July 25, 2024 Page 2 of 3 ... Lumbar Interbody Fusion Using Expandable … WebIf you request spinal surgery precertification for an Aetna Medicare Advantage member, we use Centers for Medicare & Medicaid Services benefit policies – when available – to make a coverage determination. These benefit policies include National Coverage Determinations (NCD) and Local Coverage Determinations (LCD). incendios forestales national geographic

Outpatient Surgical Procedures Policy for Providers Aetna

Category:Spinal Surgery: Laminectomy and Fusion - Medical Clinical Policy ...

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Aetna spinal fusion policy

Interspinous Fixation (Fusion) Devices - BCBSKS

Weba history of cervical spinal fusion at another level (adjacent or non-adjacent). Cervical artificial disc replacement at one level combined with cervical spinal fusion surgery at another level (adjacent or non-adjacent), as part of the same surgical plan, is unproven and not medically necessary due to insufficient evidence of efficacy. WebAetna; Anthem; Anthem Blue Cross Blue Shield; Blue Cross Blue Shield; ... Dr Hartman did a spinal fusion on me in 2000 and saved my life after a car accident. He told me the more active I was after healing would help prolong the next sx needed..he told me to expect to need another sx in about 10 yrs and 18 yrs later I'm still functioning ...

Aetna spinal fusion policy

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Webcentral spinal canal at one or two contiguous levels from L1–L5 that require surgical decompression, and BMI not > 40. Patients were followed for two years. Patients received laminectomy and coflex insertion (n=215) or posterolateral spinal fusion with pedicle screw (PS) instrumentation (n=107). The proportion of patients with WebAug 10, 2024 · Intervertebral Disc Prostheses - Medical Clinical Policy Bulletins Aetna . Intervertebral Disc Prostheses. POLICY HISTORY . Last Review: 08/10/2024 . Effective: 03/08/2002 . Next Review: 06/09/2024 . Review History . ... lumbar spinal fusion surgery for those individuals suffering from back or neck pain due to degenerative disc disease …

WebThis Clinical Policy Bulletin addresses evoked potential studies. Medical Necessity. Evoked Potential Studies. Aetna considers evoked potential studies medically necessary for the following indications: Somatosensory evoked potentials (SEPs, SSEPs) or dermatosensory evoked potentials (DSEPs) ... Fusion of spine, lumbar, lumbosacral, … WebSpinal Surgery: Laminectomy and Fusion - Medical Clinical Policy Bulletins Aetna Spinal Surgery: Laminectomy and Fusion Number: 0743 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Scope of … Intervertebral body fusion devices. Aetna considers intervertebral body fusion … Aetna considers evoked potential studies medically necessary for the following …

WebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. WebFor individuals who are undergoing spinal fusion who receive an IFD with interbody fusion, the evidence includes a systematic review of nonrandomized comparative studies and case series, and ... 11/27/12 New policy. “Interspinous fixation (fusion) devices are considered investigational for any indication, including but not limited to use: in ...

WebJun 1, 2024 · Aetna will cover minimally invasive arthrodesis of the sacroiliac joint under a new policy, which was outlined in a May 29 announcement from medical device …

WebMar 8, 2024 · Six details: 1. Aetna uses a clinical policy bulletin — a written directive on coverage positions the insurer considers for certain medical treatments — called "intervertebral disc prostheses" when deciding claims for lumbar ADR. 2. incoherent thinkingWebAetna considers axial lumbar interbody fusion (AxiaLIF), a percutaneous pre-sacral access route to the L5 -S1 vertebral bodies for spinal fusion, experimental and investigational because of insufficient evidence of its effectiveness. incendios forestales chileWebJun 1, 2024 · The relevant population of interest is patients who are undergoing spinal fusion. Interventions The therapy being considered is interspinous fixation devices with interbody fusion. Comparators The following practice is currently being used for individuals who are undergoing spinal fusion: interspinous fixation devices with pedicle screw … incendios filme assistir onlineWebAug 10, 2024 · Aetna considers concurrent or planned sequential artificial cervical disc replacement with prior or planned cervical spinal fusion at adjacent levels medically … incendios galicia twitterWebInitial primary anterior cervical discectomy and fusion (ACDF) is considered medically necessary when ALL of the following are met: Recent (within 6 months) plain X-rays of … incendios filmowWebAetna considers which following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty for … incoherent tiradeWebAetna considers the following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty … incendios vehiculares